USCIS's Electronic Immigration System (USCIS ELIS)

User Interface Design Screen Examples

Log In Screen

2

Create Account

3

USCIS Privacy Act Statement

AUTHORITIES: The information requested on this benefit application, and the associated evidence, is
collected pursuant to The Immigration and Nationality Act, as amended INA § 101,et seq.
PURPOSE: The primary purpose for providing the requested information on this benefit application is
to determine if you have established eligibility for the immigration benefit for which you are filing. The
information you provide will be used to grant or deny the benefit sought.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a final decision or result in denial of your benefit
request.
ROUTINE USES: The information you provide on this benefit application may be shared with other
federal, state, local, and foreign government agencies and authorized organizations in accordance with
approved routine uses, as described in the associated published system of records notices [DHSUSCIS-007 - Benefits Information System and DHS-USCIS-001 - Alien File (A-File) and Central Index
System (CIS), which can be found at www.dhs.gov/privacy]. The information may also be made
available, as appropriate for law enforcement purposes or in the interest of national security.

4

USCIS Reporting Burden Statement

Reporting Burden:
An agency may not conduct or sponsor an information collection and a person is not
required to respond to a collection of information unless it display’s a currently valid Office
of Management and Budget (OMB) control number. The public reporting burden for this
information collection is estimated at 2 hours and 15 minutes per response. You may send
comments concerning this estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to [email protected].

Note: This e-mail address should only be used to submit comments concerning this
information collection. Please do not submit requests for individual case status inquiries to
this address. If you are seeking information about the status of your individual case,
please check “My Case Status” online at: https://egov.uscis.gov/cris/Dashboard.do, or call
the USCIS National Customer Service Center at 1-800-375-5283.

5

Apply Online

6

About Me

7

Application Type – View 1

8

Application Type – View 2

9

Eligibility Info. – View 1

10

Eligibility Info. – View 2

11

Add Beneficiary – View 1

12

Add Beneficiary – View 2

13